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Get and Sign Totals for This Return 2020-2022 Form
Period
(MM/YY)
Owner
Business
Name
Name
ZIP
Address
City
State
Code
I do not have cumulative taxable purchases totaling more than $2,000 this calendar year and do not owe consumer’s use tax at this time.
Totals For This Return
Amount of Taxable Purchases
.
1. Totals (All Pages)...............................................................................................................................................................
Provide Tax Breakdown Starting With Page Two
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